You will be asked to examine the foot
- Clear description of hallux valgus deformity
- From front - 4 things about hallux valgus,
- 1. Lateral deviation of big toe at MTPJ
- 2. Prominence of MT head and Skin over medial border: thickened and hyperkeratotic, ulcerated(bunion)
- 3. Varus deformity of 1 st MT
- 4. Pronation of hallux (PP)
- Describe the lesser toes: Overriding 2nd toe, HAMMER TOES
- A/w with Pes Planus deformity and extra skin creases on lateral subfibula area suggesting hindfoot valgus and
- From side - subfibular impingement
- Posteriorly for any Hindfoot deformity, too many toes sign (valgus)
- Pes planus gait - loss of 3rd rocker with loss of propulsion with flat on ground contact
- Check ankle ROM with Silverskoid.
- No need check ROM at subtalar, chopart or lisfranc
- Check TMTJ mobility
- Check Grind test
- Check NV and Dorsomedial cutaneous nerve!
- Beighton score